Diane Bubeck LTD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

166.000604 Issued in IL

Legal business name

DIANE BUBECK LTD

Doing business as

Diane Bubeck & Associates

Practice address

3528 Becket LN
Naperville, IL 60564-4141

Phone

(630) 664-9702

Fax

(630) 369-5651

NPI assigned

Aug 29, 2016

Last updated

Aug 29, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Diane Therese Bubeck, RD, LMFTNPI 1558540328

Title

Owner/President

Phone

(630) 369-5645

Specialties & licenses 2

Addresses

Other names 1

• Diane Bubeck & Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Diane Bubeck, LMFT, RD, LDN, CLT

  • Marriage & Family Therapist
  • Naperville, IL
  • NPI 1558540328
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1609322791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3528 BECKET LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644141",
            "telephone_number": "630-369-5645",
            "fax_number": "630-369-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3528 BECKET LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644141",
            "telephone_number": "630-664-9702",
            "fax_number": "630-369-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE BUBECK LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "BUBECK",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "630-369-5645",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000604",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "164.001456",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diane Bubeck & Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Lee Dezoute, PA-C
• Aman Dhawan, MD
• Shonna Beth Dhawan, OT
• Manraj Dhesi
• Leona Marie Di Amore, D.C
• Diane L Ozog, MDSC
• Lora M Diaz, M.S. CCC, SLP
• Michelle Diaz
• Jacob Victor Dibattista, MD
• Anne Jeanine Dickinson, PSYD, LCPC, CADC

• Marriage & Family Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.